659 BEACH AVE - NEW SERVICE ELECTRIC s,, CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
j 3,. ;f ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2038
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 400AMPS 240 VOLTS 1PHASE
Estimated Value:
Issue Date: 8/27/2015
Expiration Date: 2/23/2016
PROPERTY ADDRESS:
Address: 659 BEACH AVE
RE Number: 170118-0000
PROPERTY OWNER:
Name: MCGURRIN, JOSEPH J
Address: 659 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: UNITED ELECTRIC COMPANY OF
Address: 5716 ST AUGUSTINE RD QA JOHN E GRIFFIN JR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $110.00
Trade Permit Base Fee $55.00
Total Payments: $169.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION J - 1 00 L
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845.
JOB ADDRESS: (5 9 .6 e c Iq L c__ PERMIT# 15--i a oo
JEA INFORMATION REQUIRED ON ALL PERMITS Lj 00 AMPS y0 VOLTS f` PHASE
-VALUE OF WORK$
NEW SERVICE L I Overhead In Underground Underground up Pole
❑Residential (Main)Service
00-100 amps O 101-150amps 0151-200amps 00 amps # of Meters I
❑Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps •• 0101-150amps 0151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,.ACCESSORY STRUCTURES,ETC.)
❑100 amps O 150ampp 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimming Pool 0 Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change ❑OH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. a C
Property Owners Name C C v r r i A ) e j Phone Number ' 6 3 ` 6 °L
Electrical Company VA- � [1{ y C -1</1 Office Phone-731-Vila Fax 7 3/- 3 //
Co.Address: 5i-) 1 t. 5+ . A v,3,,51-;,,e. 1 City a State a Zip .3" - 07
License Holder(Print): hi' . rn, vh frt./ . d CMS 0 State Certification/Registration# CG/30 n 531,
,.
Notarized Signature of License Holder 1 MARILYN i
E.TARPLEY Sworn and subscribed before me this j"1+1--- day of 14 U(}u.si 201.5
MY COMMISSION#EE877822 _ T
‘cc E.XPIRES.March 30,2017 Signature of Notary Public 1'U ().A.40.7,,. . `